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- Title
Designated case managers as facilitators of medical and psychosocial service delivery in addiction treatment programs.
- Authors
Friedmann, Peter D.; Hendrickson, James C.; Gerstein, Dean R.; Zhiwei Zhang; Zhang, Zhiwei
- Abstract
This study examines whether having designated case management staff facilitates delivery of comprehensive medical and psychosocial services in substance abuse treatment programs. A multilevel, prospective cohort study of 2829 clients admitted to selected substance abuse treatment programs was used to study clients from long-term residential, outpatient, and methadone treatment modalities. Program directors reported whether the program had staff designated as case managers. After treatment discharge, clients reported their receipt of 9 supplemental services during the treatment episode. In multivariate models controlling for multiple program-level and client-level factors, program-level availability of designated case managers increased client-level receipt of only 2 of 9 services, and exerted no effect on service comprehensiveness, compared to programs that did not have designated case managers. These findings do not support the common practice of designating case management staff as a means to facilitate comprehensive services delivery in addiction treatment programs.
- Subjects
UNITED States; HOSPITAL case management services; MEDICAL care; SUBSTANCE abuse treatment; ADDICTIONS; HOSPITAL administrators; METHADONE treatment programs; THERAPEUTIC use of narcotics; ANALGESICS; COMPARATIVE studies; INTERVIEWING; LONGITUDINAL method; RESEARCH methodology; MEDICAL care research; MEDICAL cooperation; PATIENTS; REGRESSION analysis; RESEARCH; RESEARCH funding; SUBSTANCE abuse; TREATMENT programs; EVALUATION research; SOCIAL services case management
- Publication
Journal of Behavioral Health Services & Research, 2004, Vol 31, Issue 1, p86
- ISSN
1094-3412
- Publication type
journal article
- DOI
10.1007/BF02287341